Health
‘Take your children directly to Glangwili’ advice as Withybush’s Paediatric Ambulatory Care Unit closes
HYWEL DDA Health Board has confirmed that as part of our response to the COVID-19 pandemic, the Paediatric Ambulatory Care Unit (PACU) at Withybush General Hospital has been converted into an Adult Urgent Care Assessment area.
The news means that parents of children with unknown urgent symptoms are asked to either contact their local GP, out of hours services via NHS 111, or take their child directly to Glangwili Hospital.
There will be no staff available to deal children with unknown urgent symptoms in children at Withybush Hospital.
The Health Board say that for children with emergency conditions, parents are still asked to dial 999.
But there has been concern as the number of ambulances serving the county of Pembrokeshire is mooted to be cut from 7 to 5.
The Health Board have released the following guidance on Monday (Sept 20): “To help keep you and your child safe at Glangwili Hospital, we have set up a new temporary Paediatric Assessment Area adjacent to the Emergency Department that will assess children in a separate facility to Adults. “This area is for children who attend from General Practitioners, Out of Hours, Welsh Ambulance and walk in admissions and will see children with illnesses.
“For injury, your child will be directed via minor injuries or Emergency Department.

“Once an assessment has been made, if your child requires admission staff will explain that one parent can be resident on the ward, due to restrictions that we have imposed as part of our COVID-19 response.”
Mrs Paula Evans, Head of Nursing for Paediatrics and Neonates as said that: “We understand that families will be anxious at this time if their child becomes unwell or injured. COVID-19 is worrying but there may be other reasons why your child might be unwell and it is important not to delay in getting care and treatment.”
The Health Board added: “Your GP surgery can provide telephone triage and most have also introduced, or are in the process of introducing, an online consultation service called e-Consult.
“You can access this service by visiting your GP surgery’s website; follow the link to e-Consult then choose the ‘I want help for my child’ option.
“Our Health Visiting teams are also continuing to support families and new babies. If you are unable to reach your usual health visitor, please contact your local hub, Monday to Friday between 9am and 5pm. Pembrokeshire residents should call 07766 992316.”
The Health Board are saying they are hoping to re-open the Paediatric Ambulatory Care Unit (PACU) at Withybush General Hospital in the Spring of 2022.
UPDATE 20.09.2021 – 16:10
Hywel Dda University Health Board Deputy Chief Executive and Medical Director Dr Philip Kloer said:
“We will discuss our ability to deal with both the ongoing pandemic and to care for the increasing numbers of children very unwell, due to respiratory virus’ being experienced across the country, in the next full Board meeting of Hywel Dda University Health Board on 30th September 2021.
“This will include a recommendation for the clearest possible advice to our public about when and how they can access unplanned healthcare services for children.
“It is not a proposal to make a further change to children’s hospital services at Withybush Hospital, beyond considering if we continue the COVID-19 temporary position put in place in March 2020, for a further agreed period of time.
“This involved the temporary relocation of the Paediatric Ambulatory Care Unit at Withybush Hospital to Glangwili Hospital, Carmarthen. During this period of time, if a child or young person under 16 is sick or injured, we would ask people to follow the advice issued
“Any decision about the provision of health care to children in our community will be based on their safety and will have their clinical interests as a priority. We will need to review the longer term future of paediatric services, next year, and we will consider a range of data, including patient and family experiences. We will also engage with and involve the community, as well as health care partners and public representatives, so they can share their views with us for consideration.
“A further update will be provided following the Board meeting.”
THIS STORY IS UPDATING, MORE TO FOLLOW
Business
Why mental health support is now critical for Welsh businesses
MENTAL HEALTH support has become a key issue for businesses in Wales as employers face growing pressure to help staff manage financial strain, stress and wellbeing at work.
The issue is being highlighted during Mental Health Awareness Week, with new insight from Reed showing that support for employee wellbeing is now an important part of attracting and retaining staff.
Workers in Wales said they need an annual income of £42,000 to live comfortably, compared with an average regional salary of £36,000. That leaves a “comfort gap” of £6,000.
Reed’s latest salary guides also show that 71% of workers say pay has become more important since the cost-of-living crisis, with many employees feeling the pressure of rising everyday costs.
The strain is not only financial. Separate research shows almost one in four workers in Wales, 24%, say they have previously been formally diagnosed with a mental health condition — the highest reported proportion of any UK region.
Pay alone ‘not enough’
Becky Hole, Regional Director at Reed, said employers now needed to look beyond salary alone.
She said: “In Wales, financial pressure and mental health challenges are closely linked. Our data shows that many employees are placing greater importance on stability and support, particularly where salary growth is constrained.
“This means benefits that support work-life balance and mental wellbeing are becoming a much more important part of how valued people feel at work.
“Organisations that prioritise employee wellbeing also benefit in tangible ways. By providing stronger support for mental health, employers can lower staff turnover and reduce the long-term costs linked to ongoing recruitment and the loss of skilled, experienced employees.”
What workers want
WHEN asked what would help them manage stress, 35% of workers in Wales said they wanted more flexible working, 34% wanted better mental health training for managers, and 30% wanted clearer communication about support already available.
However, Reed said there remains a gap between what workers want and what they receive.
The most common benefits currently reported by workers in Wales are onsite parking, at 28%, flexi time, at 26%, and hybrid working, at 23%. Nearly one in five workers, 18%, said they receive no benefits at all.
Ms Hole added: “What this shows is a disconnect between what employees say would most help them manage stress and how clearly mental health support is currently embedded and communicated.
“However, Wales stands out when it comes to flexi time, with a higher proportion of employers offering this benefit compared to other regions — a positive step given its proven role in supporting employee wellbeing and work-life balance.
“Flexible working, open conversations about mental health and managers who are properly trained all come through strongly as priorities.
“Employers have a responsibility to look after their people, and those who want to help their workforce truly destress need to ensure their benefits are visible, accessible and actively support everyday mental resilience.”
Reed said businesses that take wellbeing seriously are more likely to retain skills, stability and trust over the long term.
Health
Welsh adults using harmful habits to manage mental health
NEW POLLING shows more than two-thirds of adults in Wales are using potentially harmful coping mechanisms when feeling stressed, anxious or low.
The Mental Health Foundation said the findings, released for Mental Health Awareness Week, show a need for the new Welsh Government to prioritise prevention and action on poor mental health.
The survey found that 69% of adults in Wales had taken harmful actions to cope with their mental health in the past month.
More than a third, 36%, said they had spent time isolating themselves from others, while 34% reported spending more time scrolling social media or going online as a way to deal with anxiety, stress or low mood.
Other commonly reported behaviours included comfort eating or overeating, at 27%, and oversleeping or not getting out of bed, at 31%.
The Mental Health Foundation said these behaviours were concerning because evidence suggests they can make mental health worse over time.
However, the polling also found that many people in Wales are taking positive steps to support their wellbeing.
More than four in five adults, 84%, had taken at least one helpful action to support their mental health. The most common were accessing nature, at 41%, doing something enjoyable such as a hobby, at 37%, and taking part in physical activity or prioritising sleep and rest, at 35%.
The poll of 1,015 people in Wales was carried out by Opinium on behalf of the Mental Health Foundation. It was released to mark Mental Health Awareness Week, which runs from May 11 to 17.
Catherine Razzell, Policy and Public Affairs Manager at the Mental Health Foundation, said: “This polling tells us that, here in Wales, there is a concerning degree of harmful actions taken by people as a way of dealing with their feelings of poor mental health, such as doomscrolling or overeating.
“We are hopeful to see positive actions being taken by individuals to help maintain and improve good mental health. Tried and trusted activities such as connecting with nature, which many of us are fortunate to have access to in Wales, and taking part in physical exercise and rest, in equal measure, are all known to support our mental health.”
Calls for action
The polling found that nearly two-thirds of people in Wales, 64%, are using at least one harmful coping mechanism alongside positive actions.
Only one in five, 20%, reported taking only helpful actions to support their mental health.
The Mental Health Foundation said the results come at a significant moment following the Senedd election, with a new Welsh Government now in place.
Ms Razzell added: “Whilst it is good news people are finding ways to prioritise and protect their mental health and support those around them, more action is needed from our governments to create the conditions to support good mental health.
“We are seeing a once in a generation change politically in Wales. We are one year into the new ten-year mental health strategy for Wales and are keen to see how the new government will implement and resource this.
“In addition to a resourced focus on prevention, which we know has long-term economic benefits, we know that inequalities exist here that are huge barriers to good mental health, keeping people locked in poverty for generations.
“We want to see these issues tackled head-on by the new government for Wales. Now is the time for action and not talk.”
Mental Health Awareness Week is run by the Mental Health Foundation. This year’s theme is “Action”.
Health
Hywel Dda health board celebrates International Nurses Day
HEALTH chiefs are marking International Nurses Day by celebrating the vital contribution made by nurses across mid and west Wales.
Hywel Dda University Health Board said the day, held each year on May 12, is an opportunity to recognise the work nurses do for patients, families and communities.
This year’s theme is Empowered Nurses Save Lives, reflecting the role nurses play in delivering high-quality, compassionate care, often in challenging circumstances and at some of the most critical moments in people’s lives.
Nurses work across a wide range of settings, including hospitals, community services, primary care, education, research and leadership.
The health board said supporting and empowering the nursing workforce is key to enabling nurses to use their skills fully, continue to develop professionally, and lead improvements in care.
Sharon Daniel, Executive Director of Nursing, Quality and Patient Experience at Hywel Dda University Health Board, said: “International Nurses Day is an important opportunity to recognise the incredible difference our nurses make every single day.
“Empowered nurses save lives, and we see this through the skill, compassion and professionalism shown across our services.
“As we review our Nursing and Midwifery Strategic Framework, Empowered to Care, this is a timely moment to reinforce our commitment to supporting the nursing profession to grow, lead and shape services throughout their careers.
“When our staff feel valued, trusted and supported, teams are stronger and patient care is safer and more effective.”
The health board said nursing is founded on teamwork, with nurses working at the heart of multi-disciplinary teams alongside medical colleagues, allied health professionals and others to deliver joined-up, person-centred care.
It said the approach supports its wider ambition of improving health and wellbeing and providing care closer to home.
International Nurses Day is also being used as an opportunity to thank the nursing and midwifery workforce for their dedication, expertise and commitment to caring for others.
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